Organization
COMMONWEALTH BEHAVIORAL CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TERRELL TROTTER (CEO)
(804) 479-6969
Entity
Organization
Contact information
Practice address
43 RIVES RD STE 9, PETERSBURG, VA 23805-9255
(804) 479-6969
Mailing address
43 RIVES RD STE 9, PETERSBURG, VA 23805-9255
(804) 479-6969
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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